Baljit's Chest Pain

I am very anxious as 3 days ago I
began experiencing a sharp pain in my chest that lasts a few seconds each
time. I am convinced that I am having a heart attack like my father had. It
is right over my heart. It moves to the neck. The pain is worse when I cough
or lie down. It is better when I lean forward. I have no other symptoms. It
is around 6/10 in severity. Yesterday I took some paracetamol which helped.
If asked, admits to having the flu last week with symptoms of fatigue, fever,
cough and runny nose.

Past Medical History

Nil

Drug History

Occasional paracetamol

Family History

Father died of heart attack 2 weeks
ago

Social History

I do not smoke and I drink
occasionally. I have been quite stressed since my father passed away because
I am worried I will also have a heart attack. I used to exercise a lot but I
have recently let myself go. I used to walk a lot on the job but now I have
to use a van. I don't take any recreational drugs.

Introduces yourself

0

1

Confirms name & age of patient

0

1

Explains reason for consultation
& builds rapport

0

1

Gains consent

0

1

Asks open question

0

1

Establishes site

0

1

Asks about onset

0

1

Elicits character of pain

0

1

Asks if pain radiates

0

1

Asks for associated symptoms of
fever, cough and nausea

0

1

2

Asks for associated symptoms of
shortness of breath, palpitations,loss of consciousness